Haluska E A, Calfee R V
Intermedics, Inc., Freeport, Texas 77515.
Pacing Clin Electrophysiol. 1991 Feb;14(2 Pt 2):346-51. doi: 10.1111/j.1540-8159.1991.tb05119.x.
A composite implantable arrhythmia control device (ACD) implements the functions of a bradycardia pacemaker, an antitachycardia pacemaker, a cardioverter, and a defibrillator in an integrated fashion. Given this broad spectrum of functionality, the implant testing for these devices can become a formidable endeavor requiring a large ensemble of expensive, complex support equipment, and a significant amount of time. However, if this procedure is not carried out correctly, the device might later fail to defibrillate. This article presents a unique packaging system for an ACD that allows the device to be used while it is still in its sterile package. The device may then be used during implant testing as the defibrillation test unit. This collapses the amount of support equipment that is required to just the ACD, its programmer, and an optional switch box. By providing additional support specifically for implant testing through the ACD programmer, implant testing may be reduced to a quick, easy-to-manage procedure. Since the device used during implant testing is the same device that will be implanted, this packaging system offers the further advantage that the physician can be confident that, once implanted, the ACD will function correctly.
一种复合式植入式心律失常控制装置（ACD）以集成方式实现了心动过缓起搏器、抗心动过速起搏器、心脏复律器和除颤器的功能。鉴于其广泛的功能范围，这些装置的植入测试可能会成为一项艰巨的任务，需要大量昂贵、复杂的支持设备，并且耗费大量时间。然而，如果该程序执行不当，该装置日后可能无法进行除颤。本文介绍了一种用于ACD的独特封装系统，该系统允许在装置仍处于无菌包装状态时就可使用。然后，该装置可在植入测试期间用作除颤测试单元。这将所需的支持设备数量减少到仅ACD、其编程器和一个可选的开关盒。通过通过ACD编程器专门为植入测试提供额外支持，植入测试可以简化为一个快速、易于管理的程序。由于植入测试期间使用的装置与将要植入的装置相同，这种封装系统还具有进一步的优势，即医生可以确信，一旦植入，ACD将正常运行。
